Active NPI
Teresa Lupa Sripada, M.D.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 03654375
- Practice address
- 912 S Wood St
M/C 912
Chicago, IL 60612-4300 - Phone
- (312) 355-1221
- Fax
- (312) 413-4915
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurodevelopmental Disabilities Physician | 2084P0005X | 03654375 | IL | |
| Psychiatry Physician | 2084P0800X | 03654375 | IL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 03654375 | IL |
Addresses
Primary practice location
912 S Wood St
M/C 912
Chicago, IL 60612-4300
Mailing address
912 South Wood St
University of Illinois Dept of Psychiatry
Chicago, IL 60612-4300
Phone (312) 355-1221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03654375 | IL | MD | Neurodevelopmental Disabilities Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Psychiatry | Current | Accepting new patients |
| DRS Sripada MD SC | Child & Adolescent Psychiatry | Past | Accepting new patients |
Locations
7825 Solution Ctr
Chicago, IL 60677
912 S Wood St
#912
Chicago, IL 60612
Phone (312) 355-1221
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Glencoe, IL
- NPI 1598919755
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1609822147
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1689622029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 SOUTH WOOD ST",
"address_2": "UNIVERSITY OF ILLINOIS DEPT OF PSYCHIATRY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124300",
"telephone_number": "312-355-1221",
"fax_number": "312-413-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S WOOD ST",
"address_2": "M/C 912",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124300",
"telephone_number": "312-355-1221",
"fax_number": "312-413-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIPADA",
"first_name": "TERESA",
"middle_name": "LUPA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "IL",
"license": "03654375",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "03654375",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "03654375",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.